Active NPI
John Aaron Kirk, PA-C
- Physician Assistant
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-00517
- Practice address
- 5825 Plank Rd
Fredericksburg, VA 22407-5207 - Phone
- (540) 785-3448
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110840725 | VA | |
| Physician Assistant | 363A00000X | 0010-00517 | NC | Primary |
Addresses
Primary practice location
5825 Plank Rd
Fredericksburg, VA 22407-5207
Mailing address
549 Graphite TRL
Chesapeake, VA 23320-3439
Phone (910) 813-3876
Other practice location 1
215 S Hughes Blvd Ste A
Elizabeth City, NC 27909-4108
Phone (252) 338-3166 ext. 2859
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110840725 | Other | VA | LICENSSE |
| 0010-00517 | Other | NC | LICENSEE |
| P00419382 | Other | NC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Centerbrooke LN
Suite 100
Suffolk, VA 23434-8663
Phone (757) 702-8105
1944 Centerville Tpke
Suite 100
Virginia Beach, VA 23464-6839
Phone (757) 362-9067
20209 Sentara Way
Carrollton, VA 23314-3573
Phone (757) 542-1100
2168 General Booth Blvd
Suite 510
Virginia Beach, VA 23454-5804
Phone (757) 702-8122
2859 Virginia Beach Blvd
Virginia Beach, VA 23452-7613
Phone (757) 395-1300
3815 Conlon Way
Elizabeth City, NC 27909-9999
Phone (252) 580-2002
4374 New Town Ave
Williamsburg, VA 23188-2865
Phone (757) 984-6140
4701 Virginia Beach Blvd
Suite 210
Virginia Beach, VA 23462-7790
Phone (757) 702-8110
5659 Pkwy Dr
Gloucester, VA 23061-3792
Phone (804) 210-1005
7394 Harbour Towne Pkwy
Suite 5
Suffolk, VA 23435-3473
Phone (757) 702-8116
7435 Granby St
Norfolk, VA 23505-3406
Phone (757) 702-8101
747 J Clyde Morris Blvd
Newport News, VA 23601-1538
Phone (757) 736-3680
920 E High St
Suite 102
Charlottesville, VA 22902-4850
Phone (434) 290-1226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-00517 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Occupational Health P.C. | Current | Accepting new patients | |
| Velocity Urgent Care, LLC | Current | Accepting new patients | |
| Quick Med Inc | Past | Accepting new patients |
Locations
1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277
3815 Conlon Way
Elizabeth City, NC 27909
Phone (252) 580-2002
4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Fayetteville, NC
- NPI 1144279670
-
- Urgent Care Clinic/Center
- Fredericksburg, VA
- NPI 1487838652
-
- Urgent Care Clinic/Center
- Clinton, NC
- NPI 1609066687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1114991916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "549 GRAPHITE TRL",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203439",
"telephone_number": "910-813-3876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5825 PLANK RD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224075207",
"telephone_number": "540-785-3448"
}
],
"practiceLocations": [
{
"address_1": "215 S Hughes Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Elizabeth City",
"state": "NC",
"postal_code": "279094108",
"country_code": "US",
"telephone_number": "252-338-3166 x2859",
"fax_number": "252-333-3774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRK",
"first_name": "JOHN",
"middle_name": "AARON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2023-03-07",
"certification_date": "2022-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110840725",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-00517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSSE",
"identifier": "0110840725",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSEE",
"identifier": "0010-00517",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00419382",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.